Randomized trial of a patient education tool about leiomyoma

Pandya, Prerna R.; Docken, Rebecka Bogue; Sonn, N.O.; Matthew, Dara P.; Sung, Juliana; Tsambarlis, Allison; White, Patricia; Yang, Linda

doi:10.1016/j.pec.2020.02.031

Cited by 3 publications

(3 citation statements)

References 8 publications

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“…Increasing the knowledge and understanding of women diagnosed with uterine fibroids ensures that they feel empowered regarding their decisions and have limited regrets. Studies have shown that using multimedia tools and other patient education improves knowledge of uterine fibroids and anxiety levels ( 11 ). Therefore, providers should seek to use additional tools to reach patients, especially those with limited or low health literacy.…”

Section: Discussionmentioning

confidence: 99%

The impact of health literacy on uterine fibroid awareness, diagnosis, and treatment in the United States: a mini literature review

Evans

2024

Front. Reprod. Health

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Limited health literacy is a social health determinant leading to poor health outcomes. General and health literacy correlate and can impact diagnosis and treatment understanding. Limited literacy can lead to women receiving more significant rates of invasive surgical treatment, including hysterectomies. This review explores the impact of health literacy levels on uterine fibroid awareness, diagnosis, and treatment. PubMed, CINAHL, and Academic Search Premier searched articles published between January 1, 2012, and December 31, 2022. The keywords uterine fibroids, fibroids, myomas, leiomyomas, and health literacy were used. A total of four articles were returned. Increased rates of hysterectomies were found among participants with low income and education, as well as those with limited health literacy. Hysterectomies are the removal of the uterus and thus removes a woman's right to have children. While increased efforts are needed to understand the impact of health literacy levels on disparities and inequities in uterine fibroid diagnosis and treatment, there is still a need for targeted patient education and community-based education that ensures patient understanding of the diagnosis and treatment options for uterine fibroids.

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Section: Discussionmentioning

confidence: 99%

The impact of health literacy on uterine fibroid awareness, diagnosis, and treatment in the United States: a mini literature review

Evans

2024

Front. Reprod. Health

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“…Interestingly, the role of multimedia is controversial. It seems to depend on the patient and topic whether multimedia tools may or may not enhance patient counseling (Pandya et al, 2020).…”

Section: Discussionmentioning

confidence: 99%

Survey on the Necessity, Sensibility, and Timing of Psycho-Oncological Counseling and the Willingness to Discuss Various Topics During the Inpatient Stay in the Case of Breast Cancer

et al. 2022

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After the diagnosis of cancer patients require a lot of information because the disease affects all aspects of life. Some important issues regarding optimal counseling remain to be determined. This includes the time-related relevance of various topics and questions regarding who and when to consult on the topics. We analyzed the answers of 155 women with non-metastatic breast cancer undergoing primary surgery, primary chemotherapy, and having completed adjuvant treatment regarding the above-mentioned issues. We found that counseling must consider the treatment situation. Breast cancer patients in the follow-up phase reported that they preferred being counseled by female consultants. Our results largely support a counseling concept which puts the breast care nurse at the center of interest rather than psychologists and social service workers. A breast care nurse centered counseling system for women with non-metastatic breast cancer appears to meet patients’ needs best.

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“… 12 App-based MPE, e.g. integrating interactive anatomic diagrams, surgical videos, and radiology images, can improve the knowledge and satisfaction of patients with lung cancer 23 but may not reduce anxiety, 24 especially for adult patients. 18 …”

Section: Introductionmentioning

confidence: 99%

A scenario-based web app to facilitate patient education in lung tumor patients undergoing video-assisted thoracoscopic surgery: Development and usability testing

Su,

Huang,

Huang

et al. 2024

DIGITAL HEALTH

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Background Patient education (PE) is essential for improving patients’ knowledge, anxiety, and satisfaction, and supporting their postoperative recovery. However, the advantages of video-assisted thoracoscopic surgery (VATS)—smaller incisions and faster recovery—can result in shorter hospital stays, making PE more challenging to implement effectively. Multimedia PE can potentially enhance PE, but its effectiveness for patients undergoing VATS is unclear. Objective This study developed a scenario-based PE web app for lung tumor patients undergoing VATS (SPE-VATS) to facilitate the PE process and evaluated its usability through a clinical trial. Methods The SPE-VATS provided the experimental group (EG: 32 participants) with interactive scenario, query guidance, diagnostic analysis, experience sharing, and active reminder, while the control group (CG: 32 participants) used pamphlets and videos. The usability of SPE-VATS in terms of postoperative anxiety reduction and patient satisfaction with the app was evaluated using self-reported questionnaires based on the state-trait anxiety inventory, technology acceptance model, system usability scale, and task load index. Results There was no statistically significant difference in postoperative anxiety reduction between the EG and CG, possibly because 90% of the participants underwent a low-risk surgical type, and VATS is known to be advantageous in alleviating surgical anxiety. However, females and higher educated EG participants showed a non-significant but favorable reduction than their CG counterparts. Moreover, the EG was highly satisfied with the app (rated 4.2 to 4.4 out of 5.0), with no significant gender and education level difference. They particularly valued the interactive scenario, experience sharing, and diagnostic analysis features of SPE-VATS. Conclusions The SPE-VATS demonstrated its usability and high patient satisfaction, particularly for female and higher educated patients. Low-risk patient predominance and VATS's advantages may explain non-significant postoperative anxiety reduction, warranting further studies on high-risk patients to evaluate the impact of SPE-VATS on clinical practice.

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Randomized trial of a patient education tool about leiomyoma

Cited by 3 publications

References 8 publications

The impact of health literacy on uterine fibroid awareness, diagnosis, and treatment in the United States: a mini literature review

The impact of health literacy on uterine fibroid awareness, diagnosis, and treatment in the United States: a mini literature review

Survey on the Necessity, Sensibility, and Timing of Psycho-Oncological Counseling and the Willingness to Discuss Various Topics During the Inpatient Stay in the Case of Breast Cancer

A scenario-based web app to facilitate patient education in lung tumor patients undergoing video-assisted thoracoscopic surgery: Development and usability testing

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